Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.00 / $498.00 / $660.00	Facility		$249.00	$498.00	$660.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $249.00 / $255.00	Professional		$240.00	$249.00	$255.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $347.09 / $769.98	Facility		$255.00	$347.09	$769.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $255.00 / $318.00	Professional		$217.30	$255.00	$318.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $98.70 / $300.00	Facility		$77.40	$98.70	$300.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $249.00 / $336.27	Professional		$249.00	$249.00	$336.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,143.32 / $1,270.34	Facility		$300.00	$1,143.32	$1,270.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $255.00 / $255.00	Facility		$87.56	$255.00	$255.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.82 / $255.00 / $257.50	Professional		$146.82	$255.00	$257.50
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $250.00 / $501.93	Professional		$234.00	$250.00	$501.93